Iintlungu zesisu ziyingxaki eqhelekileyo, kwaye ngokuqhelekileyo ingxaki ephathwa kakhulu. Ukuqonda oko kukubangela ukuba ubuhlungu begolo bube ngumsebenzi olula. Ugqirha onobuchule angasebenzisa izikhombisi ukucacisa isizathu. Ezinye zezi zikhombo zenzani nawe-uneminyaka emingakanani kunye naluphi uhlobo lwemisebenzi oyenzayo-kwaye ezinye ngeempawu zakho-ngaba ubuhlungu bexolo bakho buqhubeka okanye ngaba kukho ukulimala kwangoku?
Ukuqulunqa imbangela yeentlungu zedolo kuxhomekeke ekuhloleni ngokufanelekileyo kwidolo ehlangene yicandelo lobugcisa. Kodwa apha ezinye zezibonakaliso eziqhelekileyo zokuguquka kwamadolo kunye namathuba ambalwa malunga noko anokubonisa.
Ukufumanisa Isizathu
- Indawo: Kuphi emadolweni isigulane sivakalelwa intlungu singenza izikhokelo malunga naluphi uhlobo lokulimala okanye imeko eyenza intlungu. Ngokomzekelo, intlungu ngaphakathi okanye emacaleni emadolweni (kwicala elisondele kwelinye idolo) lingabangelwa yimisindo ye-meniscus , ukulimala kwe-MCL kunye ne- arthritis .
Ubuhlungu ngaphandle kweedolo, okanye kwicala elingasemva, lubangelwa yimisindo ye-meniscus yangasemva , ukulimala kwe-LCL, i- IT band tendonitis , kunye ne-arthritis. Ubuhlungu emva emadolweni buya kuba ngenxa yokuqokelela umbane, obizwa ngokuthi yiChrist Baker . Ubuhlungu ngaphaya kwelo idolo ngokuqhelekileyo luhlobene ne-kneecap, kwaye lunokubangelwa ziziintlobo ezahlukeneyo iingxaki. - Isikhathi : Nje ngokuba indawo yokudabuka kwamadolo ingabonisa ukuba yintoni ebangela ingxaki, ixesha losuku isigulane esinokubuhlungu ngayo sinokunika ingqiqo. Ubuhlungu xa uhamba phantsi amanqanaba ngokuqhelekileyo kuxhambelana neengxaki ze-kneecap , ezifana ne-chondromalacia. Intlungu emva kokuqala ukuvuka kusasa kusombulula ngokukhawuleza ngomsebenzi onobubele ufana ne- arthritis yokuqala .
- Ukuvuvukala : Ukuvuvukala kwamadolo kuqhelekileyo ngeengxaki ezahlukeneyo zeedolo. Xa kukho umonakalo ngokukhawuleza emva kokulimala kwamadolo, isizathu esinokubangela ukulimala kakhulu kwisakhiwo sokubambisana sangaphakathi, njengento yangaphambili yokugulisa i-ligament okanye ukuphuka kwesantya se-bone s bone .
Xa ukuvuvukala kukhula kancane emva kweeyure ukuya kwiintsuku emva kokulimala, kunokwenzeka ukuba kube yinto enzima kakhulu, njengentlungu ye-meniscus okanye i- ligament sprain . Ukuvuvukala okwenzeka ngaphandle kokulimala okwangoku kungakho ngenxa ye- osteoarthritis (eqhelekileyo), umquba ( ongaqhelekanga ), isifo samathambo esivuthayo okanye isifo sobambiswano (ngokuqhelekileyo).
- Uhlobo lokuhamba : Ukuhamba kwamadolo kunokuchaphazeleka ngeemeko eziqhelekileyo. Ukuba ukuhamba kungapheliyo, ngokuqhelekileyo imbangela yonyango . Xa ubuso bomdibaniselwano buba yinto engafanelekanga ngenxa yesifo se-arthritis, ukuhamba kwesibambano kunokuthi kuncinci. Ukuba ukuhamba kukhawulelwe emva kokulimala kolukhuni , kukho ukukhukhumeza ukunciphisa ukunyuswa, okanye isakhiwo esikhankanyweyo esinqabela ukuhamba.
Ukuzinza kwamadolo kunikezelwa iigaments ezidibanisa isifuba shin (tibia) kwithambo lesithanga (femur). Xa iigamente zoluliwe okanye ziqhekekile, idolo livakalelwa ngathi lilinika phantsi kwesigulane. Uvakalelwa kukuba amadolo angakhupha ngaphantsi kwakho ngumqondiso oqhelekileyo wokulimala kwegament. - Izaziso : Ukubamba kunye nokuqhawula ngaphakathi emadolweni kuqhelekileyo, kwaye kaninzi ayinayo uphawu lweyiphi ingxaki ethile. Xa ii-pops zingenabuhlungu, ngokuqhelekileyo akukho nto ingxaki , kodwa iipops ezibuhlungu kunye ne-snaps kufuneka zihlolwe ngugqirha wakho. I-pop idlalwa okanye ivakalelwa ngexesha lokulimala xa i-ligament, njenge -ACL , ichithwe. Ukutshaya okanye ukukrunching impawu eziqhelekileyo zeengxaki ze-cartilage. Ukuba i-cartilage yonakaliswe-imeko ebizwa ngokuthi i-chondromalacia-i-crunching sensation idla ngokuziva ukubeka isandla phezu kwe-kneecap nokuguqa ngamadolo. Inzwa efanayo yokugaya ingabonwa nge- knee arthritis .
- Ukulinda : Ukulinda kuyimpawu eyenzekayo xa isigulane singakwazi ukugoba okanye ukuguqula idolo. Ukukhiya kungenziwa ngenxa yento ethile ekhusela ukunyakaza kwesondo, okanye ngentlungu ekhusela ukuhamba kweendondo eziqhelekileyo. Enye indlela yokufumanisa ukuba kukho into ekhuselekileyo yokunqanda ukuguquka kwamadolo kukuba unobungcali bonyango bayijobe ngamadolo ngamachiza angenayo. Emva kokuba unyango luye lwaqalisa ukusebenza, unokuzama ukuguqa idolo ukuze uqinisekise ukuba intlungu ibimbela isindululo okanye ukuba kukho isakhiwo, njengento ephukileyo yamadoda , evimbela ukunyakaza okuqhelekileyo.
Izizathu eziqhelekileyo
Iintlungu zesisu ziyinkxalabo eqhelekileyo, kwaye kukho izizathu ezininzi.
Kubalulekile ukwenza i-diagnostic echanekileyo yezizathu zeempawu zakho ukwenzela ukuba unyango olufanelekileyo lungabhekiswa kweso sizathu. Ukuba unamahloni edolo, ezinye izizathu eziqhelekileyo ziquka:
- I-Arthritis ye-Knee : I- arthritis iphakathi kwezona zinto eziqhelekileyo ezibangela ubuhlungu beendolo, kwaye kukho ezininzi unyango olukhoyo.
- Ukulimala kweLigament: Ukulimala kwamagulane kwenzeka ngokuqhelekileyo kwimisebenzi yezemidlalo kwaye kunokubangela ukungahambi kakuhle nokungazinzi.
- Ukulimala kweKartile I-Meniscal Inyembezi : Iinyembezi zengxube zibonwa kwizigulane ezincinci kunye nezidala, kwaye nazo ziyinto ebangela kakhulu intlungu yamadolo.
- I-Patellar Tendonitis : I- Tendonitis ejikeleze idibeneyo ixhaphake kakhulu kwi-tendon patellar, ithethoni enkulu ngaphambi kwamadolo.
- I-Chondromalacia Patella: I- Chondromalacia ibangela ubuhlungu emadolweni phantsi kwe-kneecap kwaye ngenxa yokunciphisa i-cartilage. Kuqhelekileyo kwizigulane ezincinci (iminyaka eyi-15-35 ubudala).
- Ukugxotha i-Kneecap : Ukutshintsha i- kneecap kubangela iimpawu ezinzima ngexesha lokutshatyalaliswa, kodwa kunokukhokelela ekubuyeni okungapheli kwamadolo.
- I-Cyst Baker : I-cyst ye-Baker ivuvuka emva komxube , kwaye ngokuqhelekileyo ibonakalisa enye ingxaki engundoqo njenge- meniscus .
- I-Bursitis : I-bursa eqhelekileyo echaphazelekayo malunga nomxube ingaphezulu kwe-kneecap. Oku kuqhelekileyo kubantu abaguqa umsebenzi, njengabalimi okanye izitya zomthi.
- I-Plica Syndrome : I- Plica syndrome yimbangela engavamile yokubuhlungu emadolweni, kwaye kunokuba kunzima ukuyifumanisa. Ukuxilongwa ngokuqhelekileyo kwenziwa rhoqo ngexesha le- arthroscopy .
- I-Osgood-Schlatter Izifo : Isifo se- Osgood-Schlatter yimeko ebonwa ebusheni kwaye ngenxa yomsindo wokukhula kwiplani nje phambi kwendibano.
- I-Osteochondritis Abatshutshisi : I- Osteochondritis dissecans (OCD) yenye imeko ebonwa ebantwaneni ngenxa yokukhula kwethambo ejikeleze intsebenziswano.
- I-Gout : I- Gout yinto engavamile yintlungu. Nangona kunjalo, kwizigulane ezinokuxilongwa kwe-gout, kufuneka kuthathelwe ingqalelo njengesizathu sokuqala kweentlungu zokuqala.
Nini ukubona iDokotela
Ukuba awuqinisekanga ngesizathu seempawu zakho, okanye ukuba awuyazi iziphakamiso ezithile zonyango kwimeko yakho, kufuneka ufune unyango. Unyango lweentlungu zamadolo mawubhekiswe kwisizathu esithile seengxaki zakho. Ezinye iimpawu ofuna ukuba zibonwe ngugqirha ziquka:
- Ukungakwazi ukuhamba ngokukhululekile kwicala elichaphazelekayo
- Ukulimala okubangela ukukhubazeka kummandla odibeneyo
- Intlungu ebuhlungu eyenzeka ebusuku okanye xa iphumla
- Iintlungu zesisu eziqhubeka ngaphaya kweentsuku ezimbalwa
- Ukulinda (ukungakwazi ukugoba) idolo
- Ukuvuvukala kwendawo edibeneyo okanye ithole
- Iimpawu zentsholongwane, kuquka imfiva, ubomvu, ukufudumala
- Naziphi na ezinye iimpawu ezingavamile
Unyango
Olunye unyango oluqhelekileyo lweentlungu zamadolo lubhalwe apha. Azikho zonke ezi zonyango ezifanelekileyo kuzo zonke iimeko, kodwa zinokuba luncedo kwiimeko zakho.
- Ukuphumla: Unyango lokuqala lweemeko eziqhelekileyo ezibangela ubuhlungu emadolweni ukuphucula umdibaniselwano, kwaye uvumele ukuvuvukala okunzulu kuphelise. Ngokuqhelekileyo oku kuyinyathelo elilodwa elifunekayo ekunciphiseni ubuhlungu beendolo. Ukuba iimpawu zinzima, iintonga ziya kunceda kwakhona.
- I-Ice kunye nesicelo sokushisa : Iipakethi ze-ice kunye ne-heat pads ziphakathi kwezilwanyana eziqhelekileyo ezisetyenziselwa ubuhlungu beendolo. Ngoko ngubani omnye onelungelo lokusebenzisa, iqhwa okanye ukushisa? Kwaze kube nini i-ice okanye ukunyanga kwamayeza okugqibela?
- Ukuthabatha: Ukubethelela izihlunu kunye neentoni ezijikeleze umdibaniswano kunokunceda ngezinye ezibangela iintlungu zamadolo.
- Ulwaphulo lwezonyango : Uphiko lwamaziko luyinto ebalulekileyo yonyango malunga neemeko zomzimba zonke. Iingcali zenyama zisebenzisa iindlela ezahlukahlukeneyo zokunyusa amandla, ukubuyela kwakhona, kunye nokunceda ukubuyela kwizigulane kwizinga lokulimala komsebenzi.
- Imithi ekhuselayo : Amagciwane angagqirhayo , angabonwa ngokuba yi-NSAID, ngamanye amayeza aqhelekileyo, ngokukodwa kwizigulane ezinamahlombe ezidolo ezibangelwa ziziingxaki ezifana ne-arthritis, bursitis, kunye ne-tendonitis.
- I-Cortisone injections : I- Cortisone yinyango enamandla ephethe ukutshabalala, kunye nokuqhaqhazela ingxaki eqhelekileyo kwizigulane ezinentlungu. Xoxa nodokotela wakho ngeenzuzo ezinokwenzeka ze-cortisone injection yakho imeko.
ILizwi
Unyango lweentlungu zamadolo luxhomekeke ngokupheleleyo kwisibambiso seengxaki. Ngoko ke, kubaluleke kakhulu ukuba uqonde isizathu seempawu zakho ngaphambi kokuqalisa inkqubo yonyango. Ukuba awuqinisekanga ngokuchazwa kwakho, okanye ubunzima beemeko zakho, kufuneka ufune iingcebiso zezokwelapha ngaphambi kokuqala naziphi na izicwangciso zonyango.
Imithombo:
> Bhatia, D., Bejarano, T, Novo, M J "Ukungenelela kwangoku ekulawuleni i-osteoarthritis." I-Journal ye-Pharmacy & Bioallied Sciences ngoJanuwari 2013
Browne K, Kurtz CA. "Indlela yokwenza uviwo olubanzi lwamadolo" i-JAAPA. 2009 Juni; 22 (6): 20-5.
> Bronstein RD, i-Schaffer JC "Ukuhlolwa koMzimba we-Knee: i-Meniscus, i-Cartilage, ne-Patellofemoral Conditions" J Am Acad Orthop Surg. Ngo-2017 ngoMeyi; 25 (5): 365-374.